KIMBERLEY BLAKE MA, NCC, LPC
NPI 1922771765
Counselor - Professional in Bridgeport, CT
About Kimberley Blake Ma, Ncc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLEY BLAKE MA, NCC, LPC (NPI 1922771765) is an individual professional provider in Bridgeport, Connecticut, licensed in Connecticut (004945) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberley Blake Ma, Ncc, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberley Blake's NPI number?
The NPI number for Kimberley Blake is 1922771765. It was assigned to this individual provider in the NPPES registry on July 28, 2021.
Where is Kimberley Blake located?
Kimberley Blake practices at 140 John St, Bridgeport, CT 06604. The listed phone number is (203) 450-9944.
What is Kimberley Blake's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kimberley Blake enrolled in Medicare?
Yes. Kimberley Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kimberley Blake was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.